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1.
Am J Physiol Lung Cell Mol Physiol ; 311(1): L111-23, 2016 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-27190060

RESUMEN

Diesel emissions are the main source of air pollution in urban areas, and diesel exposure is linked with substantial adverse health effects. In vitro diesel exposure models are considered a suitable tool for understanding these effects. Here we aimed to use a controlled in vitro exposure system to whole diesel exhaust to study the effect of whole diesel exhaust concentration and exposure duration on mucociliary differentiated human primary bronchial epithelial cells (PBEC). PBEC cultured at the air-liquid interface were exposed for 60 to 375 min to three different dilutions of diesel exhaust (DE). The DE mixture was generated by an engine at 47% load, and characterized for particulate matter size and distribution and chemical and gas composition. Cytotoxicity and epithelial barrier function was assessed, as well as mRNA expression and protein release analysis. DE caused a significant dose-dependent increase in expression of oxidative stress markers (HMOX1 and NQO1; n = 4) at 6 h after 150 min exposure. Furthermore, DE significantly increased the expression of the markers of the integrated stress response CHOP and GADD34 and of the proinflammatory chemokine CXCL8, as well as release of CXCL8 protein. Cytotoxic effects or effects on epithelial barrier function were observed only after prolonged exposures to the highest DE dose. These results demonstrate the suitability of our model and that exposure dose and duration and time of analysis postexposure are main determinants for the effects of DE on differentiated primary human airway epithelial cells.


Asunto(s)
Contaminantes Atmosféricos/toxicidad , Células Epiteliales/metabolismo , Material Particulado/toxicidad , Emisiones de Vehículos/toxicidad , Diferenciación Celular , Células Cultivadas , Estrés del Retículo Endoplásmico , Células Epiteliales/efectos de los fármacos , Expresión Génica , Humanos , Interleucina-8/metabolismo , Estrés Oxidativo , Mucosa Respiratoria/efectos de los fármacos , Mucosa Respiratoria/metabolismo , Mucosa Respiratoria/patología
2.
Epidemiology ; 26(4): 565-74, 2015 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25978793

RESUMEN

BACKGROUND: Long-term exposure to particulate matter (PM) has been associated with increased cardiovascular morbidity and mortality but little is known about the role of the chemical composition of PM. This study examined the association of residential long-term exposure to PM components with incident coronary events. METHODS: Eleven cohorts from Finland, Sweden, Denmark, Germany, and Italy participated in this analysis. 5,157 incident coronary events were identified within 100,166 persons followed on average for 11.5 years. Long-term residential concentrations of PM < 10 µm (PM10), PM < 2.5 µm (PM2.5), and a priori selected constituents (copper, iron, nickel, potassium, silicon, sulfur, vanadium, and zinc) were estimated with land-use regression models. We used Cox proportional hazard models adjusted for a common set of confounders to estimate cohort-specific component effects with and without including PM mass, and random effects meta-analyses to pool cohort-specific results. RESULTS: A 100 ng/m³ increase in PM10 K and a 50 ng/m³ increase in PM2.5 K were associated with a 6% (hazard ratio and 95% confidence interval: 1.06 [1.01, 1.12]) and 18% (1.18 [1.06, 1.32]) increase in coronary events. Estimates for PM10 Si and PM2.5 Fe were also elevated. All other PM constituents indicated a positive association with coronary events. When additionally adjusting for PM mass, the estimates decreased except for K. CONCLUSIONS: This multicenter study of 11 European cohorts pointed to an association between long-term exposure to PM constituents and coronary events, especially for indicators of road dust.


Asunto(s)
Contaminación del Aire/estadística & datos numéricos , Exposición a Riesgos Ambientales/estadística & datos numéricos , Infarto del Miocardio/epidemiología , Material Particulado/química , Adulto , Anciano , Estudios de Cohortes , Cobre/análisis , Dinamarca/epidemiología , Femenino , Finlandia/epidemiología , Alemania/epidemiología , Humanos , Incidencia , Hierro/análisis , Italia/epidemiología , Masculino , Persona de Mediana Edad , Infarto del Miocardio/mortalidad , Isquemia Miocárdica/epidemiología , Isquemia Miocárdica/mortalidad , Níquel/análisis , Potasio/análisis , Modelos de Riesgos Proporcionales , Silicio/análisis , Azufre/análisis , Suecia/epidemiología , Factores de Tiempo , Vanadio/análisis , Zinc/análisis
3.
Epidemiology ; 25(5): 648-57, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-25061921

RESUMEN

BACKGROUND: Negative effects of long-term exposure to particulate matter (PM) on lung function have been shown repeatedly. Spatial differences in the composition and toxicity of PM may explain differences in observed effect sizes between studies. METHODS: We conducted a multicenter study in 5 European birth cohorts-BAMSE (Sweden), GINIplus and LISAplus (Germany), MAAS (United Kingdom), and PIAMA (The Netherlands)-for which lung function measurements were available for study subjects at the age of 6 or 8 years. Individual annual average residential exposure to copper, iron, potassium, nickel, sulfur, silicon, vanadium, and zinc within PM smaller than 2.5 µm (PM2.5) and smaller than 10 µm (PM10) was estimated using land-use regression models. Associations between air pollution and lung function were analyzed by linear regression within cohorts, adjusting for potential confounders, and then combined by random effects meta-analysis. RESULTS: We observed small reductions in forced expiratory volume in the first second, forced vital capacity, and peak expiratory flow related to exposure to most elemental pollutants, with the most substantial negative associations found for nickel and sulfur. PM10 nickel and PM10 sulfur were associated with decreases in forced expiratory volume in the first second of 1.6% (95% confidence interval = 0.4% to 2.7%) and 2.3% (-0.1% to 4.6%) per increase in exposure of 2 and 200 ng/m, respectively. Associations remained after adjusting for PM mass. However, associations with these elements were not evident in all cohorts, and heterogeneity of associations with exposure to various components was larger than for exposure to PM mass. CONCLUSIONS: Although we detected small adverse effects on lung function associated with annual average levels of some of the evaluated elements (particularly nickel and sulfur), lower lung function was more consistently associated with increased PM mass.


Asunto(s)
Contaminantes Atmosféricos/toxicidad , Contaminación del Aire/efectos adversos , Exposición a Riesgos Ambientales/efectos adversos , Pulmón/efectos de los fármacos , Material Particulado/toxicidad , Contaminantes Atmosféricos/análisis , Contaminantes Atmosféricos/química , Contaminación del Aire/análisis , Niño , Estudios de Cohortes , Estudios Transversales , Monitoreo del Ambiente , Europa (Continente) , Femenino , Humanos , Modelos Lineales , Pulmón/fisiopatología , Masculino , Modelos Teóricos , Tamaño de la Partícula , Material Particulado/análisis , Material Particulado/química , Pruebas de Función Respiratoria
4.
Environ Sci Technol ; 48(24): 14435-44, 2014 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-25317817

RESUMEN

Land use regression (LUR) models have been used to model concentrations of mainly traffic-related air pollutants (nitrogen oxides (NOx), particulate matter (PM) mass or absorbance). Few LUR models are published of PM composition, whereas the interest in health effects related to particle composition is increasing. The aim of our study was to evaluate LUR models of polycyclic aromatic hydrocarbons (PAH), hopanes/steranes, and elemental and organic carbon (EC/OC) content of PM2.5. In 10 European study areas, PAH, hopanes/steranes, and EC/OC concentrations were measured at 16-40 sites per study area. LUR models for each study area were developed on the basis of annual average concentrations and predictor variables including traffic, population, industry, natural land obtained from geographic information systems. The highest median model explained variance (R(2)) was found for EC - 84%. The median R(2) was 51% for OC, 67% for benzo[a]pyrene, and 38% for sum of hopanes/steranes, with large variability between study areas. Traffic predictors were included in most models. Population and natural land were included frequently as additional predictors. The moderate to high explained variance of LUR models and the overall moderate correlation with PM2.5 model predictions support the application of especially the OC and PAH models in epidemiological studies.


Asunto(s)
Contaminantes Atmosféricos/análisis , Carbono/análisis , Modelos Teóricos , Hidrocarburos Policíclicos Aromáticos/análisis , Triterpenos/análisis , Europa (Continente) , Sistemas de Información Geográfica , Humanos , Industrias , Vehículos a Motor , Densidad de Población , Análisis de Regresión
5.
Anal Bioanal Chem ; 401(9): 2945-54, 2011 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-21874529

RESUMEN

Acridinium esters traditionally are triggered using basic hydrogen peroxide. By serendipity, we have found that acridinium esters can also be triggered with emission of chemiluminescence by reductive triggering, e.g., by zinc metal or reduced forms of ferric and cupric salts. Furthermore, organic reducing compounds like dithiothreitol, tricarboxyethylphosphine or glutathione could be used in combination with organic oxidants like quinones or inorganic ferric or cupric salts. Mechanisms are proposed which involve the intermediacy of superoxide. Two forms of reactive oxygen species (i.e., hydrogen peroxide and superoxide) could be discriminated based on differences in kinetics. Some applications (improved detection of acridinium ester, use of acridinium ester as redox probes) are discussed.


Asunto(s)
Acridinas/química , Inmunoensayo , Indicadores y Reactivos/química , Hibridación de Ácido Nucleico/métodos , Coloración y Etiquetado/métodos , Acridinas/análisis , Ésteres/análisis , Ésteres/química , Glutatión/química , Glutatión/metabolismo , Peróxido de Hidrógeno , Cinética , Luminiscencia , Metales Pesados/química , Oxidación-Reducción , Fosfinas/química , Fosfinas/metabolismo , Quinonas/química , Quinonas/metabolismo , Superóxidos/química
6.
Ann Work Expo Health ; 61(7): 759-772, 2017 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-28810684

RESUMEN

To date there is no consensus about the most appropriate analytical method for measuring carbon nanotubes (CNTs), hampering the assessment and limiting the comparison of data. The goal of this study is to develop an approach for the assessment of the level and nature of inhalable multi-wall CNTs (MWCNTs) in an actual workplace setting by optimizing and evaluating existing analytical methods. In a company commercially producing MWCNTs, personal breathing zone samples were collected for the inhalable size fraction with IOM samplers; which were analyzed with carbon analysis, inductively coupled plasma mass spectrometry (ICP-MS) and scanning electron microscopy/energy dispersive X-ray spectroscopy (SEM/EDX). Analytical methods were optimized for carbon analysis and SEM/EDX. More specifically, methods were applied and evaluated for background correction using carbon analyses and SEM/EDX, CNT structure count with SEM/EDX and subsequent mass conversion based on both carbon analyses and SEM/EDX. A moderate-to-high concordance correlation coefficient (RC) between carbon analyses and SEM/EDX was observed [RC = 0.81, 95% confidence interval (CI): 0.59-0.92] with an absolute mean difference of 59 µg m-3. A low RC between carbon analyses and ICP-MS (RC = 0.41, 95% CI: 0.07-0.67) with an absolute mean difference of 570 µg m-3 was observed. The large absolute difference between EC and metals is due to the presence of non-embedded inhalable catalyst particles, as a result of which MWCNT concentrations were overestimated. Combining carbon analysis and SEM/EDX is the most suitable for quantitative exposure assessment of MWCNTs in an actual workplace situation.


Asunto(s)
Contaminantes Ocupacionales del Aire/análisis , Monitoreo del Ambiente/métodos , Microscopía Electrónica de Rastreo/métodos , Nanotubos de Carbono/análisis , Exposición Profesional/análisis , Espectrometría por Rayos X/métodos , Lugar de Trabajo , Humanos , Metales
7.
Environ Sci Process Impacts ; 19(10): 1249-1259, 2017 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-28891564

RESUMEN

The European Committee for Standardisation (CEN) Technical Committee 264 'Air Quality' has recently produced a standard method for the measurements of organic carbon and elemental carbon in PM2.5 within its working group 35 in response to the requirements of European Directive 2008/50/EC. It is expected that this method will be used in future by all Member States making measurements of the carbonaceous content of PM2.5. This paper details the results of a laboratory and field measurement campaign and the statistical analysis performed to validate the standard method, assess its uncertainty and define its working range to provide clarity and confidence in the underpinning science for future users of the method. The statistical analysis showed that the expanded combined uncertainty for transmittance protocol measurements of OC, EC and TC is expected to be below 25%, at the 95% level of confidence, above filter loadings of 2 µg cm-2. An estimation of the detection limit of the method for total carbon was 2 µg cm-2. As a result of the laboratory and field measurement campaign the EUSAAR2 transmittance measurement protocol was chosen as the basis of the standard method EN 16909:2017.


Asunto(s)
Contaminantes Atmosféricos/análisis , Carbono/análisis , Monitoreo del Ambiente , Material Particulado/análisis , Aerosoles , Interpretación Estadística de Datos , Monitoreo del Ambiente/métodos , Monitoreo del Ambiente/normas , Europa (Continente) , Tamaño de la Partícula , Valores de Referencia , Reproducibilidad de los Resultados , Incertidumbre
8.
Environ Health Perspect ; 124(1): 141-50, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26046983

RESUMEN

BACKGROUND: The health effects of suspended particulate matter (PM) may depend on its chemical composition. Associations between maternal exposure to chemical constituents of PM and newborn's size have been little examined. OBJECTIVE: We aimed to investigate the associations of exposure to elemental constituents of PM with term low birth weight (LBW; weight < 2,500 g among births after 37 weeks of gestation), mean birth weight, and head circumference, relying on standardized fine-scale exposure assessment and with extensive control for potential confounders. METHODS: We pooled data from eight European cohorts comprising 34,923 singleton births in 1994-2008. Annual average concentrations of elemental constituents of PM ≤ 2.5 and ≤ 10 µm (PM2.5 and PM10) at maternal home addresses during pregnancy were estimated using land-use regression models. Adjusted associations between each birth measurement and concentrations of eight elements (copper, iron, potassium, nickel, sulfur, silicon, vanadium, and zinc) were calculated using random-effects regression on pooled data. RESULTS: A 200-ng/m3 increase in sulfur in PM2.5 was associated with an increased risk of LBW (adjusted odds ratio = 1.36; 95% confidence interval: 1.17, 1.58). Increased nickel and zinc in PM2.5 concentrations were also associated with an increased risk of LBW. Head circumference was reduced at higher exposure to all elements except potassium. All associations with sulfur were most robust to adjustment for PM2.5 mass concentration. All results were similar for PM10. CONCLUSION: Sulfur, reflecting secondary combustion particles in this study, may adversely affect LBW and head circumference, independently of particle mass. CITATION: Pedersen M, Gehring U, Beelen R, Wang M, Giorgis-Allemand L, Andersen AM, Basagaña X, Bernard C, Cirach M, Forastiere F, de Hoogh K, Grazuleviciene R, Gruzieva O, Hoek G, Jedynska A, Klümper C, Kooter IM, Krämer U, Kukkonen J, Porta D, Postma DS, Raaschou-Nielsen O, van Rossem L, Sunyer J, Sørensen M, Tsai MY, Vrijkotte TG, Wilhelm M, Nieuwenhuijsen MJ, Pershagen G, Brunekreef B, Kogevinas M, Slama R. 2016. Elemental constituents of particulate matter and newborn's size in eight European cohorts. Environ Health Perspect 124:141-150; http://dx.doi.org/10.1289/ehp.1409546.


Asunto(s)
Material Particulado/toxicidad , Contaminantes Atmosféricos/toxicidad , Peso al Nacer/efectos de los fármacos , Cobre/toxicidad , Humanos , Recién Nacido , Hierro/toxicidad , Níquel/toxicidad , Silicio/toxicidad , Azufre/toxicidad , Zinc/toxicidad
9.
Sci Total Environ ; 505: 1072-81, 2015 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-25461108

RESUMEN

Relatively little is known about long term effects of wood smoke on population health. A wood combustion marker - levoglucosan - was measured using a standardized sampling and measurement method in four European study areas (Oslo, The Netherlands, Munich/Augsburg, Catalonia) to assess within and between study area spatial variation. Levoglucosan was analyzed in addition to: PM2.5, PM2.5 absorbance, PM10, polycyclic aromatic hydrocarbons (PAH), nitrogen oxides (NOx), elemental and organic carbon (EC/OC), hopanes, steranes and elemental composition. Measurements were conducted at street, urban and regional background sites. Three two-week samples were taken per site and the annual average concentrations of pollutants were calculated using continuous measurements at one background reference site. Land use regression (LUR) models were developed to explain the spatial variation of levoglucosan. Much larger within than between study area contrast in levoglucosan concentration was found. Spatial variation patterns differed from other measured pollutants: PM2.5, NOx and EC. Levoglucosan had the highest spatial correlation with ΣPAH (r=0.65) and the lowest with traffic markers - NOx, Σhopanes/steranes (r=-0.22). Levoglucosan concentrations in the cold (heating) period were between 3 and 20 times higher compared to the warm period. The contribution of wood-smoke calculated based on levoglucosan measurements and previous European emission data to OC and PM2.5 mass was 13 to 28% and 3 to 9% respectively in the full year. Larger contributions were calculated for the cold period. The median model R(2) of the LUR models was 60%. The LUR models included population and natural land related variables. In conclusion, substantial spatial variability was found in levoglucosan concentrations within study areas. Wood smoke contributed substantially to especially wintertime PM2.5 OC and mass. The low to moderate correlation with PM2.5 mass and traffic markers offers the potential to assess health effects of wood smoke separate from traffic-related air pollution.


Asunto(s)
Contaminantes Atmosféricos/análisis , Contaminación del Aire/estadística & datos numéricos , Monitoreo del Ambiente , Glucosa/análogos & derivados , Europa (Continente) , Glucosa/análisis , Sustancias Peligrosas/análisis , Óxidos de Nitrógeno/análisis , Material Particulado/análisis , Hidrocarburos Policíclicos Aromáticos/análisis
10.
Environ Int ; 82: 76-84, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-26057255

RESUMEN

BACKGROUND: Epidemiological studies have associated long-term exposure to ambient particulate matter with increased mortality from cardiovascular and respiratory disorders. Systemic inflammation is a plausible biological mechanism behind this association. However, it is unclear how the chemical composition of PM affects inflammatory responses. OBJECTIVES: To investigate the association between long-term exposure to elemental components of PM and the inflammatory blood markers high-sensitivity C-reactive protein (hsCRP) and fibrinogen as part of the European ESCAPE and TRANSPHORM multi-center projects. METHODS: In total, 21,558 hsCRP measurements and 17,428 fibrinogen measurements from cross-sections of five and four cohort studies were available, respectively. Residential long-term concentrations of particulate matter <10µm (PM10) and <2.5µm (PM2.5) in diameter and selected elemental components (copper, iron, potassium, nickel, sulfur, silicon, vanadium, zinc) were estimated based on land-use regression models. Associations between components and inflammatory markers were estimated using linear regression models for each cohort separately. Cohort-specific results were combined using random effects meta-analysis. As a sensitivity analysis the models were additionally adjusted for PM mass. RESULTS: A 5ng/m(3) increase in PM2.5 copper and a 500ng/m(3) increase in PM10 iron were associated with a 6.3% [0.7; 12.3%] and 3.6% [0.3; 7.1%] increase in hsCRP, respectively. These associations between components and fibrinogen were slightly weaker. A 10ng/m(3) increase in PM2.5 zinc was associated with a 1.2% [0.1; 2.4%] increase in fibrinogen; confidence intervals widened when additionally adjusting for PM2.5. CONCLUSIONS: Long-term exposure to transition metals within ambient particulate matter, originating from traffic and industry, may be related to chronic systemic inflammation providing a link to long-term health effects of particulate matter.


Asunto(s)
Exposición a Riesgos Ambientales/análisis , Inflamación/sangre , Material Particulado/química , Biomarcadores , Proteína C-Reactiva/metabolismo , Estudios de Cohortes , Cobre/análisis , Europa (Continente) , Femenino , Fibrinógeno/metabolismo , Humanos , Hierro , Modelos Lineales , Modelos Teóricos , Níquel , Enfermedades Respiratorias , Azufre/análisis , Tiempo , Vanadio/análisis , Zinc/análisis
11.
Int J Hyg Environ Health ; 217(8): 819-29, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-24948353

RESUMEN

Evidence for a role of long-term particulate matter exposure on acute respiratory infections is growing. However, which components of particulate matter may be causative remains largely unknown. We assessed associations between eight particulate matter elements and early-life pneumonia in seven birth cohort studies (N total=15,980): BAMSE (Sweden), GASPII (Italy), GINIplus and LISAplus (Germany), INMA (Spain), MAAS (United Kingdom) and PIAMA (The Netherlands). Annual average exposure to copper, iron, potassium, nickel, sulfur, silicon, vanadium and zinc, each respectively derived from particles with aerodynamic diameters ≤ 10 µm (PM10) and 2.5 µm (PM2.5), were estimated using standardized land use regression models and assigned to birth addresses. Cohort-specific associations between these exposures and parental reports of physician-diagnosed pneumonia between birth and two years were assessed using logistic regression models adjusted for host and environmental covariates and total PM10 or PM2.5 mass. Combined estimates were calculated using random-effects meta-analysis. There was substantial within and between-cohort variability in element concentrations. In the adjusted meta-analysis, pneumonia was weakly associated with zinc derived from PM10 (OR: 1.47 (95% CI: 0.99, 2.18) per 20 ng/m(3) increase). No other associations with the other elements were consistently observed. The independent effect of particulate matter mass remained after adjustment for element concentrations. In conclusion, associations between particulate matter mass exposure and pneumonia were not explained by the elements we investigated. Zinc from PM10 was the only element which appeared independently associated with a higher risk of early-life pneumonia. As zinc is primarily attributable to non-tailpipe traffic emissions, these results may suggest a potential adverse effect of non-tailpipe emissions on health.


Asunto(s)
Contaminantes Atmosféricos/efectos adversos , Exposición a Riesgos Ambientales/efectos adversos , Metales Pesados/efectos adversos , Tamaño de la Partícula , Material Particulado/efectos adversos , Neumonía/etiología , Zinc/efectos adversos , Contaminación del Aire/efectos adversos , Preescolar , Estudios de Cohortes , Exposición a Riesgos Ambientales/análisis , Monitoreo del Ambiente , Femenino , Humanos , Lactante , Recién Nacido , Júpiter , Modelos Logísticos , Masculino , Infecciones del Sistema Respiratorio/etiología
12.
Toxicol In Vitro ; 27(8): 2342-9, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24161370

RESUMEN

Air-liquid interface (ALI) exposures enable in vitro testing of mixtures of gases and particles such as diesel exhaust (DE). The main objective of this study was to investigate the feasibility of exposing human lung epithelial cells at the ALI to complete DE generated by a heavy-duty truck in the state-of-the-art TNO powertrain test center. A549 cells were exposed at the air-liquid interface to DE generated by a heavy-duty Euro III truck for 1.5h. The truck was tested at a speed of ∼70kmh(-1) to simulate free-flowing traffic on a motorway. Twenty-four hours after exposure, cells were analyzed for markers of oxidative stress (GSH and HO-1), cytotoxicity (LDH and Alamar Blue assay) and inflammation (IL-8). DE exposure resulted in an increased oxidative stress response (significantly increased HO-1 levels and significantly reduced GSH/GSSH ratio), and a decreased cell viability (significantly decreased Alamar Blue levels and slightly increased LDH levels). However, the pro-inflammatory response seemed to decrease (decrease in IL-8). The results presented here demonstrate that we are able to successfully expose A549 cells at ALI to complete DE generated by a heavy-duty truck in TNO's powertrain test center and show oxidative stress and cytotoxicity responses due to DE exposure.


Asunto(s)
Contaminantes Atmosféricos/toxicidad , Técnicas de Cultivo de Célula , Laboratorios , Pruebas de Toxicidad/métodos , Emisiones de Vehículos/toxicidad , Aire , Línea Celular Tumoral , Supervivencia Celular/efectos de los fármacos , Células Epiteliales , Glutatión/metabolismo , Hemo-Oxigenasa 1/metabolismo , Humanos , Interleucina-8/metabolismo , L-Lactato Deshidrogenasa/metabolismo , Oxazinas/metabolismo , Alveolos Pulmonares/citología , Xantenos/metabolismo
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